Individual
MRS. PAM GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5401 WHITE LN, BAKERSFIELD, CA 93309-6279
(661) 836-4000
(661) 847-4097
Mailing address
12818 MOLOKAI DR, BAKERSFIELD, CA 93312-8281
(661) 496-6067
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00789189
MEDICARE RAILROAD
CA
Enumeration date
04/08/2008
Last updated
04/05/2010
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